Individual
BRANDON ERIC MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
422 E 7TH ST APT B, SAN JACINTO, CA 92583-4861
(626) 394-2769
Mailing address
422 E 7TH ST APT B, SAN JACINTO, CA 92583-4861
(626) 394-2769
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
63480
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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